| Cornerstone Family Care LLC | |
|
1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 | |
| (732) 242-4222 | |
| (732) 242-4170 |
| Full Name | Cornerstone Family Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1921 Oak Tree Rd Ste 103, Edison, New Jersey |
| Authorized Official Name and Position | Paul Kang (PHYSICIAN) |
| Authorized Official Contact | 7322424222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Care LLC 1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 Ph: (732) 242-4222 | Cornerstone Family Care LLC 1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 Ph: (732) 242-4222 |
| NPI Number | 1215548698 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 06/02/2022 |
| Certification Date | 08/25/2021 |
| Medicare PECOS PAC ID | 3072931104 |
|---|---|
| Medicare Enrollment ID | O20200922000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215548698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Paul J Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760902100 PECOS PAC ID: 4981022019 Enrollment ID: I20200922000814 |
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